| NPI | 1942236807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 25192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007026338) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2014-01-03 |